| NPI | 1740121003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC LL97047) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL97047) |
| Enumeration Date | 2026-04-02 |
| Last Update Date | 2026-07-15 |